Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06078 | Date 18/01/2024 |
| Token No | SM/22-23/19632 09/03/2024 | Serial | 023 |
| Patient Name | Mr. RANJIT NAYEK | Contact No | 9330034695 |
| Address | D/174/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 29 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||